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Human immunodeficiency virus‐related primary cutaneous aspergillosis
Author(s) -
Stanford Duncan,
Boyle Michael,
Gillespie Roderick
Publication year - 2000
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1046/j.1440-0960.2000.00407.x
Subject(s) - medicine , aspergillosis , itraconazole , aspergillus fumigatus , mycosis , differential diagnosis , biopsy , aspergillus , human immunodeficiency virus (hiv) , catheter , lesion , pathology , surgery , dermatology , antifungal , virology , microbiology and biotechnology , immunology , biology
SUMMARY A 31‐year‐old Caucasian man with AIDS developed a crusted violaceous plaque under adhesive tape near a central venous catheter insertion site. Histological examination demonstrated a ruptured hair follicle containing collections of fungal hyphae typical of Aspergillus spp. A culture of the biopsy material grew Aspergillus fumigatus . The patient responded to removal of the catheter and the occlusive dressing, in addition to itraconazole therapy. Aspergillosis must be considered in the differential diagnosis of cutaneous lesions in human immunodeficiency virus‐infected patients, in particular when the lesion occurs under adhesive tape or an occlusive dressing.